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The effect of non-pharmacological interventions on cognitive function in cancer: an overview of systematic reviews
被引:2
|作者:
Haywood, Darren
[1
,2
,3
,4
]
Henneghan, Ashley M.
[5
,6
]
Chan, Alexandre
[7
]
Chan, Raymond J.
[8
]
Dhillon, Haryana M.
[9
]
Lustberg, Maryam B.
[10
]
Vardy, Janette L.
[11
]
O'Connor, Moira
[4
]
Elvidge, Norah
[12
]
Dauer, Evan
[1
,2
]
Franco-Rocha, Oscar Y.
[5
]
Vasan, Shradha
[2
]
Murray, James
[1
]
Crichton, Megan
[12
]
Wilding, Helen
[14
]
Rossell, Susan L.
[2
,13
]
Hart, Nicolas H.
[1
,8
,15
,16
,17
]
机构:
[1] Univ Technol Sydney UTS, INSIGHT Res Inst, Fac Hlth, Human Performance Res Ctr, Driver Ave,Moore Pk, Sydney, NSW 2021, Australia
[2] St Vincents Hosp Melbourne, Dept Mental Hlth, Fitzroy, Vic, Australia
[3] Univ Melbourne, Melbourne Med Sch, Dept Psychiat, Dent & Hlth Sci, Parkville, Vic, Australia
[4] Curtin Univ, Fac Hlth Sci, Sch Populat Hlth, Bentley, WA, Australia
[5] Univ Texas Austin, Sch Nursing, Austin, TX USA
[6] Univ Texas Austin, Dell Med Sch, Dept Oncol, Austin, TX USA
[7] Univ Calif Irvine, Sch Pharm & Pharmaceut Sci, Irvine, CA USA
[8] Flinders Univ S Australia, Caring Futures Inst, Coll Nursing & Hlth Sci, Adelaide, SA, Australia
[9] Univ Sydney, Fac Sci, Sch Psychol, Psychooncol Cooperat Res Grp, Sydney, Australia
[10] Yale Univ, Sch Med, New Haven, CT USA
[11] Univ Sydney, Fac Med & Hlth, Sydney, Australia
[12] Queensland Univ Technol, Fac Hlth, Canc & Palliat Care Outcomes Ctr, Sch Nursing, Brisbane, Australia
[13] Swinburne Univ Technol, Ctr Mental Hlth & Brain Sci, Hawthorn, Vic, Australia
[14] St Vincents Hosp Melbourne, Lib Serv, Fitzroy, Vic, Australia
[15] Edith Cowan Univ, Exercise Med Res Inst, Sch Med & Hlth Sci, Perth, WA, Australia
[16] Queensland Univ Technol QUT, Fac Hlth, Canc & Palliat Care Outcomes Ctr, Brisbane, Qld, Australia
[17] Univ Notre Dame Australia, Inst Hlth Res, Perth, WA, Australia
基金:
英国医学研究理事会;
美国国家卫生研究院;
关键词:
Cancer;
Cognition;
Cancer-related cognitive impairment;
Non-pharmacological;
Intervention;
Exercise;
Cognitive rehabilitation;
QUALITY-OF-LIFE;
BREAST-CANCER;
NERVOUS-SYSTEM;
NECK-CANCER;
IMPAIRMENT;
SURVIVORS;
EXERCISE;
CHEMOTHERAPY;
METAANALYSIS;
DYSFUNCTION;
D O I:
10.1007/s00520-025-09212-3
中图分类号:
R73 [肿瘤学];
学科分类号:
100214 ;
摘要:
PurposeA significant number of cancer survivors experience cancer-related cognitive impairment (CRCI), which can impact their ability to think, reason, make decisions, and perform daily actions. In recent years, non-pharmacological interventions for CRCI have gained significant attention. These interventions include exercise, cognitive behavioural therapy, cognitive training/remediation, dietary, mind-body, and multi-modal/complex interventions. This umbrella review provides a critical overview to inform guidelines and current practice, identify the most promising interventions, and uncover gaps in the research literature.MethodsThis umbrella review of systematic reviews was pre-registered on Open Science Framework and PROSPERO. Six databases were searched. Systematic reviews (SR) assessing any non-pharmacological interventions to improve cognition in cancer (any type) were included. The overview followed gold-standard guidelines and recommendations. The results were narratively synthesised, and descriptive statistics and effect size ranges were calculated.ResultsSixty-four (n = 64) SRs were included. Results were synthesised into four non-pharmacological domains. Cognitive training/rehabilitation had the strongest evidence for efficacy. Physical activity/exercise showed promising efficacy; however, the variability of findings was considerable. Mind-body and psychological/behavioural therapy interventions were limited, but there was evidence for short-term effectiveness. Multi-modal/complex interventions showed potential for improving cognition in cancer but were poorly defined.ConclusionsOverall, non-pharmacological interventions demonstrated efficacy for improving cognition in cancer. There were limited intervention characteristics within domains which were consistently related to efficacy. Three key recommendations are provided for future research: (1) adopt harmonisation and reporting guidelines; (2) develop definitional guidelines of cognitive domains for CRCI research; and (3) assess intervention and participant characteristics associated with positive versus null/negative findings.
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